Coding Denials Analyst - Full Time - Remote

Texas Health Resources•Arlington, TX

23h•Remote

About The Position

We’re looking for a qualified Coding Denials Analyst to join our Texas Health family. This role is 100% remote and offers flexible hours/scheduling, contributing to a terrific work/life balance within the HIMS Coding Department.

Requirements

Associate's Degree Health Information Services or related field REQUIRED or H.S. Diploma or Equivalent 3 Years Coding experience in lieu of degree REQUIRED
3 Years Coding in an acute care setting REQUIRED
CCS - Certified Coding Specialist Upon Hire REQUIRED or CCA - Certified Coding Associate Upon Hire REQUIRED or RHIA - Registered Health Information Administrator Upon Hire REQUIRED or RHIT - Registered Health Information Technician Upon Hire REQUIRED or CPC - Certified Professional Coder Upon Hire REQUIRED or COC - Certified Outpatient Coder Upon Hire REQUIRED or Other Other Relevant AHIMA or AAPC coding (not billing) certifications, ie., CIC, CIRCC, etc. Upon Hire REQUIRED or Other Coding Denials Analysts hired prior to January 1, 2013 are not required to obtain certification(s) as a condition of employment Upon Hire REQUIRED
Demonstrates the ability to locate, research, comprehend and appropriately apply 3rd party payer rules and regulations.
Able to analyze and resolve complex coding related claim or payor denials in a manner that ensures accurate and optimal reimbursement.
Proficient in Microsoft Office and billing software applications.
Thorough understanding of ICD10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor and National Correct Coding Initiative policies.
Demonstrates clear and concise oral and written communication skills.
Demonstrates strong decision making and problem solving skills.
Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
Detail oriented and ability to meet deadlines.
Ability to adjust successfully to changing priorities and work load volume.

Nice To Haves

2 Years Performing billing and coding denials resolution preferred

Responsibilities

Reviews, researches, resolves and trends billing and coding edits
Trends documentation, reimbursement, and coding
Assists the leadership team with Fiscal Management of coding resources and processes
Professional Accountability